Late micronutrient deficiency and neurological dysfunction after laparoscopic sleeve gastrectomy: a case report

Although the micronutrient deficiencies and the related neurological manifestations are widely reported after malabsorbitive weight loss surgery, little is known about cerebral dysfunction secondary to micronutrient impairment in subjects undergoing restrictive interventions (that is, sleeve gastrec...

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Bibliographic Details
Published in:	European journal of clinical nutrition Vol. 66; no. 5; pp. 645 - 647
Main Authors:	Scarano, V, Milone, M, Di Minno, M N D, Panariello, G, Bertogliatti, S, Terracciano, M, Orlando, V, Florio, C, Leongito, M, Lupoli, R, Milone, F, Musella, M
Format:	Journal Article
Language:	English
Published:	London Nature Publishing Group UK 01-05-2012 Nature Publishing Group
Subjects:	692/1807/1693 692/700/565/2194 692/700/565/545/2098 Adult Bariatric Surgery - adverse effects Biological and medical sciences Case reports Case studies Clinical Nutrition Deficiency diseases Digestive system. Abdomen Endoscopy Epidemiology Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Gastrectomy Gastrectomy - adverse effects Gastrointestinal surgery Humans Internal Medicine Investigative techniques, diagnostic techniques (general aspects) Laparoscopy Laparoscopy - adverse effects Malnutrition - etiology Medical sciences Medicine Medicine & Public Health Metabolic Diseases Micronutrients Micronutrients - deficiency Neurological complications Neurological disorders Nutrition Obesity Obesity, Morbid - surgery Polyneuropathies Polyneuropathies - etiology Polyneuropathy Postoperative Complications Public Health short-communication Stenosis Surgery Vertebrates: anatomy and physiology, studies on body, several organs or systems Weight loss Wernicke Encephalopathy - etiology Wernicke's encephalopathy Italy bariatric surgery Wernicke's syndrome sleeve gastrectomy micronutrient deficiency Human Late Deficiency Bariatric surgery Metabolic diseases Nervous system Laparoscopy Gastrectomy Case study Micronutrient Treatment Dysfunction Endoscopy
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Summary:	Although the micronutrient deficiencies and the related neurological manifestations are widely reported after malabsorbitive weight loss surgery, little is known about cerebral dysfunction secondary to micronutrient impairment in subjects undergoing restrictive interventions (that is, sleeve gastrectomy). We describe a case of a 27-year-old woman with a late development of a Wernicke's encephalopathy (WE) and of severe polyneuropathy following a sleeve gastrectomy without any sleeve stenosis. The impact of WE after bariatric surgery is significantly underestimated. Such a risk should be taken into consideration also after restrictive weight loss surgery. Thus, surgeoun/clinicians involved in bariatric patients management must be aware of neurological sequelae related to this intervention.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 ObjectType-Article-2 ObjectType-Feature-1
ISSN:	0954-3007 1476-5640
DOI:	10.1038/ejcn.2012.10